Valant’s partnership with the Inovalon clearinghouse allows users to submit and manage claims for Medicare, Medicaid, and thousands of commercial payers for an additional cost. Once the user has logged into the Inovalon ONE platform, they will perform most functions in Claims Management Pro.
Note: The practice needs to have the “Billing” module and the user needs to have the “Easy Billing” permission to access this feature.
Review this short video
Follow these steps to successfully use the Inovalon Integration:
- Valant Specialist meets with you to obtain your practice information.
- Practice fills out the Inovalon Payer List Spreadsheet
- Valant Specialist populates NCARF (New Customer Account Request Form) and submits to Inovalon
- Valant populates the provided details to accurately set up providers and entities in Inovalon
- Valant guides the authorized signer in responsibilities to complete enrollment paperwork
- Practice sets up account for the Inovalon portal
- Practice populates the Inovalon Payer List for Enrollments spreadsheet and submits to Valant, downloadable form and instructions available in the Inovalon Payer List for Enrollments article
- Valant generates enrollment requests for identified payers
- Practice users learn how to navigate Claims Management Pro
- Claim submission and eligibility checking are completed through Valant EHR
- Claim follow up and correction is completed through Claims Management Pro
- ERA processing is completed through Valant EHR
- Practice users familiarize themselves with reports and information available in Claims Management Pro
Articles to Review:
- Inovalon Integrated Clearinghouse Payer Enrollments
- Inovalon Integrated Clearinghouse - Access and Navigation
- Inovalon Integrated Clearinghouse – Eligibility, Claim Management, ERA, Reporting (article coming soon)
Support
Valant Customer Support
Contact Valant Support if you have any questions, issues, or concerns. Because of the integrated support process, we recommend users do not request support through Inovalon.
Technical Requirements
- Supported browsers: Google Chrome™, Internet Explorer ®, Microsoft Edge, Chrome Firefox®.
- Recommended browser: Chrome.
FAQ
What is an NCARF?
New Customer Account Request Form, unique to Inovalon, provides information needed to set up the practice in the Inovalon system.
If the enrollment request shows as passed, why might it immediately be marked as failed when viewing in the Enrollment Status window?
Per Inovalon, if a rejection message of "Failed to initiate enrollment process" is received in the Enrollment status window and no specific reason is given it is recommended to restart the enrollment by checking the box and choosing the option to restart.
What is an entity?
In Inovalon, the entity is the facility or provider associated with the tax ID. The entity is required for creating payer enrollments.
Do all payers require enrollment before billing claims?
No. There are many payers that do not require prior enrollment in order to process claims through Inovalon. These payers are identified in the Inovalon Payer ID list in the “ENROLLMENT REQUIRED (Y / N)” column as N.